LEAVE OF ABSENCE FORM

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LEAVE OF ABSENCE FORM

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Shared by: jhovy dhatu
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posted:
5/28/2009
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Application Form for Leave of Absence Please write legibly. Date of Filing: ______________________ Applicant’s Name: _____________________________________________________ Surname First Name Middle Name Position: _____________________________________ Salary: _____________________________________ Office: ________________________________________________________________________ Type of Leave: ( ) Sick ( ) Vacation Inclusive Dates: _______________________________ Number of Days: _______________________________ __________________________ Signature Over Printed Name

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